HomeMy WebLinkAboutBuilding permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d
Date: o1T� Permit Number:
RECEIVED
Building Permit Application FEB 2 4 90H
Planning and Development Services
Building and Code Regulation Division ST. Lucie county, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Boat lift III
Address: 107 QUEENS RD, FORT PIERCE, FL 34949
Legal Description: QUEENS COVE - UNIT THREE - BLK 25 LOT 9
Property Tax ID #: 1423-602-0009-000-3
Site Plan Name: LIDDELL
Project Name: LIDDELL - BOAT LIFT
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
IDETAILED DESCRIPTION OF WORK: III
1. INSTALL 1 PC. USED BOAT LIFT ON 4 NEW SUPPORT PILES
CONSTRUCTION INFORMATION:
UHVAC L_J Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 6,260.00
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JudLdPP1Y.
❑
Sas Piping
_ Shutters
Windows/Doors
Sprinklers
ElGenerator
0
Roof
=
Roof pitch
S Ft. of First Floor:
Utilities:Sewer]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name KIMBERLY A LIDDELL (TR)
Name: ROBERT WILUAMS
Address:8111 S INDIAN RIVER DR.
Company: VVILCO CONSTRUCTION INC
City: FORT PIERCE State:FL
Zip Code: 34982 Fax: NIA
Phone No.239-292-3028 ( JACK LIDDELL)
Address: 10751 ORANGEAVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E-Mail: NIA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: WILCOINC@BELLSOUTH.NET
State or County License: SCC131151026 29115
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: DANIELPAULRETHERFORD
MORTGAGE COMPANY, x Not Applicable
Name:
Address: 1402 HARTMAN RD
Address:
City: FORTNERCE State: FL
Zip:34947 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
l
Signature of Owner/Lessee/Contractor as Agent for Own
STATE OF FLORIDAy�l� �UZ
COUNTY OFy
The fprgrg instru yeas acknowledg fore me
this day of. X D , 20 y
P— Wil'clams
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.
MYCOMMISSION # GG 162348
I FF`°•' Revised 07/151�Bonded Thru Notary Public Underwriters
�s�-�.��.�.—.�..,..4
�� S S
Signature of Contractor/License Holder
STATE OF FLORIDA _ Ct I l t��
COUNTY OF U
The fa'r-gloing instru t was acknowledged before me
this 1� day of 20 �30 by
'Qcj!�74-1-yiiL1ion
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission
MYCOMMISSION # GG 162348
REVIEWS
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